Wendy S Douglas (NPI# 1427297084, PAC ID# 6800951427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427297084 |
| PAC ID by PECOS | 6800951427 |
| Professional Enrollment ID | I20090216000282 |
| Full Name | Wendy S Douglas |
| Organization Legal Name | DIALYSIS PROGRAM PHYSICIANS UNIVERSITY OF UTAH |
| Address |
515 E 100 Suite 350 Salt Lake City UT 84102-3766 |
| Phone Number | 8015813981 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385534973 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460004 | MCKAY DEE HOSPITAL |
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| 460017 | BRIGHAM CITY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 515 E 100, Suite 350, Salt Lake City, UT 84102-3766 | 8015813981 | DIALYSIS PROGRAM PHYSICIANS UNIVERSITY OF UTAH |
| Organization Legal Name | DIALYSIS PROGRAM PHYSICIANS UNIVERSITY OF UTAH |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Swatsenbarg | Registered Dietitian Or Nutrition Professional | Dialysis Program Physicians University of Utah | 2225 Teton Plz A, Idaho Falls, ID 83404-6494 |
| Patricia G Hogan | Nurse Practitioner | Dialysis Program Physicians University of Utah | 515 E 100, Suite 350, Salt Lake City, UT 84102-3766 |
| Melinda Charlet | Registered Dietitian Or Nutrition Professional | Dialysis Program Physicians University of Utah | 85 Medical Dr, Salt Lake City, UT 84112-1100 |
| Charlotte H Tateoka | Physician Assistant | Dialysis Program Physicians University of Utah | 515 E 100, Suite 350, Salt Lake City, UT 84102-3766 |
| Alfred K Cheung | Nephrology | Dialysis Program Physicians University of Utah | 515 E 100, Suite 350, Salt Lake City, UT 84102-3766 |
| Street Address |
515 E 100 SUITE 350 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84102-3766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia G Hogan | Nurse Practitioner | Dialysis Program Physicians University of Utah | 515 E 100, Suite 350, Salt Lake City, UT 84102-3766 |
| Charlotte H Tateoka | Physician Assistant | Dialysis Program Physicians University of Utah | 515 E 100, Suite 350, Salt Lake City, UT 84102-3766 |
| Alfred K Cheung | Nephrology | Dialysis Program Physicians University of Utah | 515 E 100, Suite 350, Salt Lake City, UT 84102-3766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy N De La Garza | Family Medicine | 77 S 700, Suite 220, Salt Lake City, UT 84102-1162 | |
| Charles Ty Nuttall | Clinical Social Worker | 699 E S Temple, Suite 300, Salt Lake City, UT 84102-1186 | |
| Darren F Groberg | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Daniel Preece | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Steven R Taylor | Otolaryngology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Kian Eftekhari | Ophthalmology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Balimar B Lindgren | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Edwin Awinda | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Bernard M Mutie | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Nathan Michael Hastings | Hospitalist | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Find all physicians in zip 84102 | |||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALT LAKE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Wendy S Douglas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.